Urological Surgery Preoperative Instructions
PREOPERATIVE INSTRUCTIONS — GENERAL
If you are currently awaiting a surgical procedure, it is essential for your own safety and for the success of your surgery that you carefully read and obey these instructions from the Urological Institute of Northeastern New York.
CHANGE IN HEALTH STATUS
Notify your surgeon if you experience any significant change in your health status, such as develop a cold, influenza, a bladder infection, diarrhea, or other infection, before your surgery.
PREOPERATIVE MEDICATION INSTRUCTIONS
Unless specifically instructed otherwise by your surgeon, anesthesiologist, or medical doctor, please observe the following guidelines for taking your medicines before surgery:
One Week Prior to Surgery:
- STOP all aspirin and all aspirin-containing medicines (e.g., Anacin, Excedrin, Pepto-Bismol). Check any cold or pain medication bottles to make certain aspirin is not contained.
- STOP all nonsteroidal anti-inflammatory medications (e.g., etodolac [Lodine], fenoprofen [Nalfon], ibuprofen [Advil, Motrin, Nuprin], ketorolac [Toradol], maproxen [Aleve], meclofenarnate [Meclomen], mefenamic acid [Ponstel], naproxen [Anaprox, Naprosyn].
On the Morning of your Surgery:
- DO NOT TAKE digitalis medicines (e.g., Crystodigin, Digoxin, Lanoxin).
- DO NOT TAKE oral antidiabetes medicines (e.g., chlorpropamide [Diabinese], glyburide [DiaBeta, Glynase, Micronase], glypizide [Glucotrol], tolazamide [Tolinase], tolbutamide [Orinase].
- DO NOT TAKE one-half of your usual morning. INSULIN dose. DO NOT TAKE your morning INSULIN dose if you are driving a great distance the morning of surgery or if your surgery is scheduled for the afternoon.
- DO TAKE, with a small sip of water, ALL of your other usual morning doses of regularly prescribed medicines. Use your asthma inhalers and bring them with you to the hospital.
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PREOPERATIVE DIET INSTRUCTIONS
Your diet recommendation will be provided prior to your surgery at your office visit and may include all or some of the following:
- Nothing by mouth after midnight except medications with a sip of water
- Bowel Prep:
- Golytely
- Mag Citrate
- Neurogenic Bowel Prep
Please call the Urological Institute for regarding any questions.
Unless specifically instructed otherwise by your surgeon or anesthesiologist, patients of all ages must observe the following diet restrictions before surgery:
Eight hours before the scheduled start of your surgery:
- DO NOT EAT any solid foods, including juices with pulp (e.g., orange juice, nectars), lozenges, candy, chewing gum, and mints.
- DO NOT DRINK full liquid, such as milk, cream, and jello. You may continue to drink up to eight ounces of clear liquids until EIGHT hours before the scheduled start of your surgery. Clear liquids include Water, clear juices (e.g., apple, grape), black tea and black coffee.
ON THE DAY OF SURGERY
- Take your medicines with a sip of water as instructed above.
- You may brush your teeth; rinse your mouth, but do not swallow the water.
- Leave all jewelry (including wedding and all other rings) and valuables (including money and credit cards) at home.
- If you wear contact lenses, glasses or hearing aids, please bring a case or container, and solution for contacts, to protect them while you are in surgery.
- Wear a minimum amount of makeup, and no mascara. Please remove the nail polish from both index fingers.
- Please bring the bottles with prescription information for all your current medications.
- Minors (anyone less than 18 years old) must be accompanied by a parent or legal guardian to sign the operative consent form.
- The anesthesiologist will discuss with you the anesthetic most appropriate for your medical condition and procedure prior to surgery.
- After your surgery you must be escorted/driven home by a responsible adult. You may take a taxi car or shuttle if accompanied by a responsible adult who can stay with you after the driver departs.
TIME TO ARRIVE FOR YOUR SURGERY
You should receive a call from the perioperative care team regarding the time to arrive for your surgery.
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